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KEENYA ELLIS
NPI 1245824184
Durable Medical Equipment & Medical Supplies - Customized Equipment in Charlotte, NC

Active since February 22, 2021
9618 JACK RUSSELL CT, CHARLOTTE, NC 28269(347) 224-4746 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keenya Ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEENYA ELLIS (NPI 1245824184) is an individual customized equipment provider in Charlotte, North Carolina and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1245824184
Entity TypeIndividualFemale
Primary Taxonomy332BC3200X
Provider Legal NameKEENYA ELLIS
Location Address9618 JACK RUSSELL CTCharlotte, NC 28269-5207
Mailing Address9618 Jack Russell CtCharlotte, NC 28269-5207 · (347) 224-4746
Phone(347) 224-4746
Sole ProprietorYes
Enumeration DateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
✔ NPI 1245824184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
9618 JACK RUSSELL CT, Charlotte, NC 28269
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keenya Ellis's NPI number?

The NPI number for Keenya Ellis is 1245824184. It was assigned to this individual provider in the NPPES registry on February 22, 2021.

Where is Keenya Ellis located?

Keenya Ellis practices at 9618 Jack Russell Ct, Charlotte, NC 28269. The listed phone number is (347) 224-4746.

What is Keenya Ellis's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Keenya Ellis was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.